Evidence map›Paper›PMID 33475520›Full record

ReviewJournal of medical Internet research2021

Understanding eHealth Cognitive Behavioral Therapy Targeting Substance Use: Realist Review.

Farhud Shams, James S H Wong, Mohammadali Nikoo, Ava Outadi, Ehsan Moazen-Zadeh, Mostafa M Kamel, Michael Jae Song, Kerry L Jang, Reinhard Michael Krausz

Open access · goldAbstract readReview
In one paragraph

Review in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 3 countries.

Farhud ShamsInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-8720-3748
James S H WongInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-3030-311X
Mohammadali NikooInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-7692-3923
Ava OutadiInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6540-8777
Ehsan Moazen-ZadehAddiction Institute of Mount Sinai, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.ORCID 0000-0003-0846-1402
Mostafa M KamelInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-1988-8439
Michael Jae SongFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-3320-1944
Kerry L JangDepartment of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-0977-5377
Reinhard Michael KrauszInstitute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-3509-7274
University of British Columbia · CAIcahn School of Medicine at Mount Sinai · US

Funding

CIHR 348103-398000
6 · The paper itself

Abstract

backgroundThere is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context.

objectiveWe conducted a realist review of the literature on electronic cognitive behavioral therapy (eCBT) programs for substance use with the goal of answering the following realist question: "How do different eCBT interventions for substance use interact with different contexts to produce certain outcomes?"

methodsA literature search of published and gray literature on eHealth programs targeting substance use was conducted. After data extraction, in order to conduct a feasible realist review in a timely manner, the scope had to be refined further and, ultimately, only included literature focusing on eCBT programs targeting substance use. We synthesized the available evidence from the literature into Context-Mechanism-Outcome configurations (CMOcs) in order to better understand when and how programs work.

resultsA total of 54 papers reporting on 24 programs were reviewed. Our final results identified eight CMOcs from five unique programs that met criteria for relevance and rigor.

conclusionsFive strategies that may be applied to future eCBT programs for substance use are discussed; these strategies may contribute to a better understanding of mechanisms and, ultimately, may help design more effective solutions in the future. Future research on eCBT programs should try to understand the mechanisms of program strategies and how they lead to outcomes in different contexts.

Indexed as

AdolescentAdultAgedCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedSubstance-Related DisordersTelemedicineYoung AdulteHealth CBTeHealth mechanismsopioid crisisrealist reviewsubstance use

Identifiers

PMID33475520
PMCPMC7861997
OpenAlexW3112980969

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.